Individual
ERICA PRIBIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2801 BAY PARK DR, OREGON, OH 43616-4920
(419) 690-7900
Mailing address
1200 RALSTON AVE, DEFIANCE, OH 43512-1396
(419) 783-6954
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35080018
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000329023
ANTHEM
OH
01
—
000000550254
ANTHEM
OH
05
—
2317648
—
OH
Enumeration date
08/18/2005
Last updated
04/13/2021
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